Evidence map›Paper›PMID 30717788›Full record

ArticleInfectious diseases of poverty2019

Potential factors influencing lymphatic filariasis transmission in "hotspot" and "control" areas in Ghana: the importance of vectors.

Sellase Pi-Bansa, Joseph Harold Nyarko Osei, Kwadwo Kyeremeh Frempong, Elizabeth Elhassan, Osei Kweku Akuoko, David Agyemang, Collins Ahorlu, Maxwell Alexander Appawu, Benjamin Guibehi Koudou, Michael David Wilson and 4 more

Abstract read
In one paragraph

Article in Infectious diseases of poverty, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Meta-analysis of the prevalence ofFrontiers in cellular and infection microbiology · 2025
    Pooled it
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  16. Assessing the Presence ofTropical medicine and infectious disease · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Sellase Pi-BansaSwiss Tropical and Public Health Institute, Basel, Switzerland. spi-bansa@noguchi.ug.edu.gh.
Joseph Harold Nyarko OseiNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Kwadwo Kyeremeh FrempongNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Elizabeth ElhassanSightSavers International, Ghana Office, Accra, Ghana.
Osei Kweku AkuokoNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
David AgyemangSightSavers International, Ghana Office, Accra, Ghana.
Collins AhorluNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Maxwell Alexander AppawuNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Benjamin Guibehi KoudouVector Biology Department, Liverpool School of Tropical Medicine, Liverpool, UK.
Michael David WilsonNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Dziedzom Komi de SouzaNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Samuel Kweku DadzieNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.
Jürg UtzingerSwiss Tropical and Public Health Institute, Basel, Switzerland.
Daniel Adjei BoakyeNoguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMass drug administration (MDA) programmes for the control of lymphatic filariasis in Ghana, have been ongoing in some endemic districts for 16 years. The current study aimed to assess factors that govern the success of MDA programmes for breaking transmission of lymphatic filariasis in Ghana.

methodsThe study was undertaken in two "hotspot" districts (Ahanta West and Kassena Nankana West) and two control districts (Mpohor and Bongo) in Ghana. Mosquitoes were collected and identified using morphological and molecular tools. A proportion of the cibarial armatures of each species was examined. Dissections were performed on Anopheles gambiae for filarial worm detection. A questionnaire was administered to obtain information on MDA compliance and vector control activities. Data were compared between districts to determine factors that might explain persistent transmission of lymphatic filariasis.

resultsHigh numbers of mosquitoes were sampled in Ahanta West district compared to Mpohor district (F = 16.09, P = 0.002). There was no significant difference between the numbers of mosquitoes collected in Kassena Nankana West and Bongo districts (F = 2.16, P = 0.185). Mansonia species were predominant in Ahanta West district. An. coluzzii mosquitoes were prevalent in all districts. An. melas with infected and infective filarial worms was found only in Ahanta West district. No differences were found in cibarial teeth numbers and shape for mosquito species in the surveyed districts. Reported MDA coverage was high in all districts. The average use of bednet and indoor residual spraying was 82.4 and 66.2%, respectively. There was high compliance in the five preceding MDA rounds in Ahanta West and Kassena Nankana West districts, both considered hotspots of lymphatic filariasis transmission.

conclusionsThe study on persistent transmission of lymphatic filariasis in the two areas in Ghana present information that shows the importance of local understanding of factors affecting control and elimination of lymphatic filariasis. Unlike Kassena Nankana West district where transmission dynamics could be explained by initial infection prevalence and low vector densities, ongoing lymphatic filariasis transmission in Ahanta West district might be explained by high biting rates of An. gambiae and initial infection prevalence, coupled with high densities of An. melas and Mansonia vector species that have low or no teeth and exhibiting limitation.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsAnophelesElephantiasis, FilarialFemaleFilaricidesGhanaHumansMaleMass Drug AdministrationMiddle AgedMosquito VectorsPrevalenceFilaricidesGhanaHotspotsLymphatic filariasisMass drug administrationMicrofilariaeSystematic non-complianceVector control

Identifiers

PMID30717788
PMCPMC6362603

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.